Anaphylaxis triggered by prick test with latex extract

a case report

Autores

Palavras-chave:

Latex hypersensitivity, Diagnostic test, routine, Anaphylaxis

Resumo

CONTEXT: Adverse reactions associated with prick tests are rare but may be present as serious systemic reactions. CASE REPORT: A 38-year-old female nursing technician complained of three episodes of anaphylaxis in one year, all in the workplace. To investigate latex allergy, the patient underwent the prick test with latex, and immediately developed a rash, itchy skin, hoarseness, dyspnea and dry cough. Her condition im-proved promptly after appropriate measures were established for controlling her anaphylaxis. CONCLUSION: The skin test must be performed under medical supervision, since complications that can lead to life-threatening reactions, if support measures are not readily implemented, have been attributed to this test.

Downloads

Não há dados estatísticos.

Biografia do Autor

Leonardo Oliveira Mendonça, Universidade de São Paulo

MD. Postgraduate Fellow, Clinical Immunology and Allergy Division, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.

Cynthia Mafra Fonseca de Lima, Universidade de São Paulo

MD, MSc. Physician and Doctoral Student, Clinical Immunology and Allergy Division, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.

Priscilla Rios Cordeiro Macedo, Universidade de São Paulo

MD. Physician and Master’s Student, Clinical Immunology and Allergy Division, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil

Victor do Espirito Santo Cunha

MSc, PhD. Veterinarian and Research & Development Manager, Immunotech Laboratories, FDA-Allergenics, Rio de Janeiro (RJ), Brazil.

Ruppert Ludwig Hahnstadt, FDA-Allergenics

Pharm, MSc. Pharmacist and Head Director, Immunotech Laboratories, FDA-Allergenics, Rio de Janeiro (RJ), Brazil.

Jorge Kalil, Universidade de São Paulo

MD, PhD. Full Professor, Clinical Immunology and Allergy Division, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil

Clóvis Eduardo Santos Galvão, Universidade de São Paulo

MD, PhD. Attending Physician, Clinical Immunology and Allergy Division, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil

Referências

Simons FE, Ebisawa M, Sanchez-Borges M, et al. 2015 update of the evidence base: World Allergy Organization anaphylaxis guidelines. World Allergy Organ J. 2015;8(1):32. doi: 10.1186/s40413-015-0080-1.

Lieberman P, Nicklas RA, Oppenheimer J, et al. The diagnosis and management of anaphylaxis practice parameter: 2010 Update. J Allergy Clin Immunol. 2010;126(3):477-80. doi: 10.1016/j.jaci.2010.06.022.

Lockey RF, Benedict LM, Turkeltaub PC, Bukantz SC. Fatalities from immunotherapy (IT) and skin testing (ST). J Allergy Clin Immunol. 1987;79(4):660-77. PMID: 3559001.

Kahn SL, Podjasek JO, Dimitropoulos VA, Brown CW Jr. Natural rubber latex allergy. Dis Mon. 2016;62(1):5-7. doi: 10.1016/j.disamonth.2015.11.002.

Reid MJ, Lackey RF, Turkeltaub PC, Platts-Mills TA. Survey of fatalities from skin testing and immunotherapy 1985-1989. J Allergy Clin Immunol. 1993;92(1 Pt 1):6-15. PMID: 8335856.

Bernstein DI, Wanner M, Borish L, Liss GM; Immunotherapy Committee, American Academy of Allergy, Asthma and Immunology. Twelve-year survey of fatal reactions to allergen injections and skin testing: 1990-2001. J Allergy Clin Immunol. 2004;113(6):1129-36. doi: 10.1016/j. jaci.2004.02.006.

Downloads

Publicado

2019-06-06

Como Citar

1.
Mendonça LO, Lima CMF de, Macedo PRC, Cunha V do ES, Hahnstadt RL, Kalil J, Galvão CES. Anaphylaxis triggered by prick test with latex extract: a case report. Sao Paulo Med J [Internet]. 6º de junho de 2019 [citado 10º de março de 2025];137(3):295-7. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/892

Edição

v. 137 n. 3 (2019)

Seção

Relato de Caso

Licença

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.